Facility Evaluation Report

03/18/22, Licensing Program Analysts (LPA) Gail Johnson conducted an unannounced annual required visit with a primary focus on Infection Control measures using the CARE Inspection Tool. LPA Johnson met with the Administrator Daniel Herrera Garcia. LPA Johnson explained the purpose of today’s visit. The facility is licensed to operate and care for three (3) non-ambulatory adults (ages 18 through 59). Currently, three (3) ambulatory adult clients reside at this facility.

The facility is a one-story structure located in a residential neighborhood. It consists of the following: three (3) bedrooms (no live in staff, and three client bedrooms) two (2) bathrooms, living area/family room dining area, kitchen, outdoor recreational activity area and outside patio. Bedrooms (Client rooms) Presently three (3) clients each occupy their own private bedrooms. All rooms were inspected. Beds and bedding supplies were in good condition, adequate lighting was provided. Storage for client personal belongings was observed. Physical Plant LPA Johnson toured the physical plant. There were no bodies of water or obstructions on the premises. Bed linens, comforters, and bath towels were adequately stocked at the time of visit. Bathrooms were found to be within Title 22 regulations and were clean and operational. The water temperature measured 110.3 degrees Fahrenheit.

Storage areas for personal hygiene, medications, cleaning supplies, toxins, and sharp objects were stored, locked and not accessible to clients. The kitchen was inspected and there is sufficient perishable and non-perishable food available and maintained properly. Smoke detectors and carbon monoxide detectors were operable. Emergency Phone Numbers, Exit Plan, & Menu: Emergency numbers are posted and readily available for review. Facility has a land line telephone located in the kitchen (424) 269-0071. Two fire extinguishers were fully charged (located in the kitchen and in hall near backdoor exit).